Kimanin kashi 16 cikin dari na waɗanda ke da Down syndrome suna da celiac.
Mutanen da ke fama da Down syndrome, ƙwayar kwayoyin halitta, sukan haifar da cututtukan Celiac a farashin da ke sama da wadanda ke cikin yawan jama'a. A gaskiya ma, cututtukan Celiac zai iya shafar mutane 16 a kowace 100 da Down syndrome.
Me ya sa wannan ya faru? Abin takaici, likitoci ba su da tabbas. Amma haɗin da ke tsakanin yanayin biyu shine wani abu da iyaye da masu kula da mutanen da ke fama da Down syndrome ya kamata su fahimta, don su iya kasancewa a kan ido don bayyanar cututtuka na cutar celiac da kuma yin gwajin da ya dace , idan ya cancanta.
Haɗarin Ciwo na Ciwo na Ƙasa da Lafiya
Down syndrome ya fito daga matsala tare da jinsin ku. Kowane mutum yana da nau'i nau'i nau'i nau'i nau'i nau'i nau'i nau'i nau'i nau'i nau'i nau'i nau'i nau'in nau'i biyu daga mahaifiyarka da rabi daga mahaifinka, amma mutanen da ke da Down syndrome suna da karin kwayoyin halitta a cikin wasu kwayoyin halitta guda biyu: 21 na biyu. Wannan yana haifar da abin da masu ilimin halittu suke kira "trisomy 21," sunan fasaha don Down syndrome.
Wannan ƙarin kwayoyin halitta zai iya fitowa daga ko dai mahaifiyar mahaifiyar ku ko kuma mahaifiyar mahaifinku, kuma hadarin Down syndrome ya taso tare da tsohuwar mahaifiyar (kuma mai yiwuwa mahaifinsa, ko da yake duk masu bincike basu da wannan ra'ayi). Kusan ɗaya daga cikin yara 700 da aka haifa a Amurka a kowace shekara-kusan 6,000 jarirai a cikin duka-yana da Down syndrome.
Mutane tare da ciwo na Down suna da siffofi na musamman , ciki har da idon almond, kananan kunnuwan da baki, da kuma karami babba wanda ke kula da zama a baya.
Sannan kuma suna da ƙananan sautin tsoka, kuma suna jin dadin maganin kiwon lafiya wanda ya fito daga hangen nesa da saurare ga lalacewar zuciya. Duk yara da manya tare da Down syndrome suna da wasu nau'i na rashin lafiya na hankali, ko da yake matakin waɗannan zai bambanta daga mutum zuwa mutum.
Matsaloli tare da tsarin kwakwalwa kuma sun kasance na kowa a waɗanda ke fama da Down syndrome.
Baban da aka haifa tare da Down syndrome na iya ƙila ba su da cikakkiyar nau'i (wanda za'a iya gyara ta tiyata bayan haihuwa). Kimanin kashi 5 zuwa kashi 15 cikin 100 na waɗanda ke tare da ciwon Down yana iya samun yanayin da aka sani da cutar Hirschsprung, wanda ke faruwa a lokacin da babban hanji ba ya aiki yadda ya kamata. Wannan kuma na iya buƙatar tiyata don cire ɓangaren babban hanji wanda ba ya aiki.
Celiac Cututtuka: Wani Kwayoyin Halitta
Kamar Down syndrome, cututtukan Celiac shine yanayin kwayoyin halitta -mace magana, kana buƙatar samun akalla "ciwon cututtuka celiac" don bunkasa yanayin. Duk da haka, akwai wasu dalilai da suka shafi, wasu daga waɗanda masu bincike basu riga sun gano ba. Ba kowa ba tare da wadanda ake kira "cututtukan cututtukan Celiac" suna haskakawa tare da cutar celiac.
Celiac cutar ne maƙasudin saɓo , wanda yake nufin ya ƙunshi kai hari kan wani ɓangare na jikinka ta hanyar tsarinka na rigakafi. Lokacin da kake da celiac, cinye abincin da aka yi tare da daya daga cikin hatsi uku-sha'ir, sha'ir, ko hatsin rai - ya haifar da tsarin rigakafi don kai farmaki da lalata ƙananan hanji. Wannan yana ƙayyade iyawarka don karɓar muhimman abubuwan gina jiki daga abinci. A yanayin da ya fi tsanani, cututtukan celiac zai iya haifar da rashin abinci mai gina jiki mai tsanani, anemia, kuma haɗari mai yawa ga lymphoma.
Mutanen da ke fama da ciwo na Down suna da haɗari mafi girma ga cututtuka na asibiti na kowa, kuma masu bincike sunyi imanin cewa kashi 16 cikin dari na mutanen da ke ciwo Down yana da cutar celiac. Wannan yana da muhimmanci fiye da kimanin kashi 1 bisa dari a yawancin jama'a. Masana sun bukaci iyaye su sami 'ya'ya tare da Down syndrome wanda aka kulla don cutar celiac tare da gwajin jini na Celiac tsakanin shekaru biyu da uku.
Wadannan yara waɗanda suke nuna kyamara suna bukatar yin wani tsari da aka sani da endoscopy domin likitoci su iya duba kai tsaye a kuma samo samfurori na jikin su. Wannan yana iya zama kamar babban abu, amma yana da mahimmanci don samun magungunan celiac cutar ganewar asali .
Har ila yau, iyayen da sukaransu sun yi rahoton cewa jaririn ya wuce ta ba tare da wata matsala ba, kuma hakan ya fi damuwa ga iyaye fiye da 'ya'yan.
Binciken Celiac Cutar Abun Baya ga Yara
Ko da karon Down syndrome yaron ya zama mummunan rauni ga cutar celiac a matsayin yarinya, kada ka bari ka kare. Koda ma tsofaffi tsofaffi an riga an gano su tare da celiac , kuma yana yiwuwa a cigaba da yanayin a kowane lokaci. Ba kawai yanayin ƙuruciya ba ne.
Mafi sanannun alamun cututtuka na cutar celiac sun hada da cututtukan ruwa, gajiya, asarar nauyi, da anemia . Duk da haka, mutane da yawa ba su da waɗannan alamun "alamun", kuma a maimakon haka suna da alamun bayyanar cututtuka waɗanda zasu iya haɗa da ƙwarewar jiki , ciwon haɗin gwiwa , har ma da asarar gashi . Yara da cutar Celiac zai iya girma da sannu a hankali fiye da 'yan uwan su kuma zasu iya zama mafi guntu a matsayin manya.
Matsaloli irin su cututtukan cututtukan hankali da rashin tausin zuciya na iya zama mafi yawan mutane tare da cutar celiac, duk waɗannan zasu iya faruwa a mutanen da ke da Down syndrome, da kuma.
Ɗaya daga cikin binciken da likitoci a asibitin Boston suka yi, sun gano cewa ƙananan kamfanonin ƙananan ciwon cututtuka ba su binciki bayyanar cututtuka na celiac ba, musamman idan waɗannan alamun cututtuka ba "bayyanar cututtuka" wadanda suka fi dacewa da yanayin. Wannan binciken ya ba da tabbacin ƙwarewa da matsalolin halayya kamar yadda alamar cututtuka ta fi sau da yawa ta bayar da rahoto ta hanyar masu kula da yara waɗanda aka bari a baya domin cutar celiac.
Akwai yiwuwar samun ciwon cututtukan Celiac ba tare da wata alamar bayyanar cututtuka ba , amma ƙungiyoyi biyu na masu bincike sun gano cewa mutane da ciwon Down da ke ci gaba da cutar celiac sun fi yiwuwar ba su da alamun bayyanar cututtuka, musamman ma da raguwa. A gaskiya ma, binciken daya ya gano cewa ƙananan ciwon cututtuka wadanda suka kamu da cutar ta Celiac sun kasance a kasa da kashi 10th bisa dari na tsawo da nauyi.
Duk da haka, wani binciken ya nuna cewa bayyanar cututtuka na celiac-anemia, cututtuka, da kuma maƙarƙashiya-ma yakan faru sau da yawa a Down syndrome yara ba tare da celiac ba. Haka kuma yana iya yiwuwa ga wadanda ke fama da cutar celiac don yin aikin maganin thyroid, wanda kuma zai iya faruwa a cikin rashin lafiyar Celiac a waɗanda ke fama da Down syndrome. Saboda haka, masu bincike sun ce, masu kulawa da magunguna suna buƙatar kasancewa a hankali da allon don yanayin.
Akwai labari mai kyau: babban bincike daga Sweden ya nuna cewa mutanen da ke fama da ciwon Down da kuma celiac ba su da hatsarin mutuwa fiye da mutanen da Down Down syndrome ne kadai.
Kula da wani da Celiac Cutar
Abin takaici, babu wata magungunan magani don magance cututtukan celiac. Wannan zai iya canzawa a nan gaba, amma a halin yanzu, magani kawai don cutar celiac shine cin abinci marar yalwar abinci , wadda mutum da celiac dole ne ya bi rayuwa.
Maganin abinci marar yisti yana da sauti mai sauƙi a takarda, amma yana iya zama da wuya a yin aiki saboda yawancin abinci yana dauke da hatsi. Lokacin dafa abinci ga wani tare da cututtukan celiac, kana buƙatar karanta lakabi a hankali kuma ka kiyaye kariya daga giciye a cikin ɗakin abinci.
A gaskiya ma, wasu iyalai suna yin aikin cin abinci ba tare da yalwaci a gida ba don kare lafiyar mutumin tare da cutar celiac. Cin abinci na iya zama kalubalanci, ko da yake yana da sauki tare da haɓakawa da mazaje marasa kyauta a wasu abinci mai sauri da gidajen cin abinci mai saurin gudu.
Kalma Daga
Yayin da yaronka ke da Down syndrome, yin la'akari da manyan canje-canje kamar cin abinci mai cin abinci marar amfani ba zai iya zama mai raɗaɗi ba, musamman idan yaronka yana da wasu matsalolin kiwon lafiya wadanda suke da ƙwayar lafiya a Down. Yin haɓaka ƙananan ciwo na Down ko kulawa da balagaggu zai iya zama ƙalubalen, kuma ƙarin ƙuntataccen abincin abincin ba zai taimaka ba.
Amma akwai labari mai kyau: babu buƙatar kauce wa ɗanka kukis, pizza, da sauran samari na yara, tun da kayan kyauta marasa kyauta na duk waɗannan abinci suna da samuwa. Har ila yau, da zarar ka yi amfani da ƙwaƙwalwar karatun (abin da ya dace) ya zo tare da abincin, za ka iya gane cewa zai zama yanayi na biyu, kuma za ka ga wasu daga cikin ƙwayoyi na kwayoyi da sauran cututtuka na inganta, kazalika.
> Sources:
> Ludvigsson JF et al. Celiac Cutar da Ciwon Cutar Cutar Cutac: Cibiyar Nazarin Jakadanci na Ƙasar. BMC Makarantar likita. 2017 Janairu 31, 17 (1): 41.
> Ƙungiyar Ciwon Lafiya ta kasa. Takaddun cututtuka na Gastrointestinal Tract & Down Syndrome.
> Mårild K et al. An haɗu da ciwo na ciwo da ƙananan cututtuka na Celiac: Cibiyar Nazarin Kasuwanci ta Duniya. Jaridar Pediatrics. 2013 Jul; 163 (1): 237-42.
> Pavlovic M et al. Cikakken cutar Celiac a Down Down Syndrome - Old da New Dilemmas. World Journal of Clinical Cases. 2017 Yuli 16; 5 (7): 264-269.
> Sharr C et al. Binciken Celiac Cutar a cikin marasa lafiya tare da Down Syndrome. Jaridar Amirka na Magunguna na Genetics, Sashe na A. 2016 Dec, 170 (12): 3098-3105.